Dr Basel I Al-aswad, MD is a medicare enrolled "Orthopaedic Surgery" physician in Evergreen Park, Illinois. His current practice location is
2850 W 95th St, Suite 406, Evergreen Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 499-4844.
Dr Basel I Al-aswad is licensed to practice in Illinois (license number 036048539) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033104641.
Physician's Profile
Full Name | Dr Basel I Al-aswad |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 2850 W 95th St, Evergreen Park, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033104641
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800951880
- Enrollment ID: I20090209000480
Medical Identifiers
Medical identifiers for Dr Basel I Al-aswad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033104641 | NPI | - | NPPES |
31602972 | Other | IL | BC/BS NUMBER |
036048539 | Other | IL | MEDICAL LICENCE |
200005125 | Other | IL | MEDICARE ID-RAILROAD |
36-3618165 | Other | | TAX IDENTIFICATION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 036048539 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Basel I Al-aswad allows following entities to bill medicare on his behalf.
Entity Name | Lawndale Christian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245289214 PECOS PAC ID: 2264336346 Enrollment ID: O20031120000728 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Basel I Al-aswad is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Basel I Al-aswad, MD 2850 W 95th St, Suite 406, Evergreen Park, IL 60805-2735 Ph: (708) 499-4844 | Dr Basel I Al-aswad, MD 2850 W 95th St, Suite 406, Evergreen Park, IL 60805-2735 Ph: (708) 499-4844 |
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